Individual provider · Type 1 NPI

Dominique Rauls

Family Nurse Practitioner · Shaw Afb, SC

NPI number 1861265050 Active

Practice location

420 Polifka Dr
Shaw Afb, SC 29152-5100

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN268515 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1861265050

Dominique Rauls's National Provider Identifier is 1861265050, issued on Oct 31, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shaw Afb, SC. The record was last updated on Jan 30, 2026.